Therapist Registration
Therapist Registration
Personal Details
First Name
Last Name
Email
Mobile
Gender
Male
Female
Profile Picture
Profile Picture
Profile Title
Professional Details
Qualification
- Select -
M.A. / M.Sc. in Psychology
M.Phil. in Clinical Psychology (RCI Registered)
M.Phil. in Psychiatric Social Work
Ph.D. in Psychology
Diploma in Counselling Psychology
Certified CBT Practitioner
Certified Trauma-informed Therapist
Licensed Clinical Psychologist (RCI)
Licensed Counselling Psychologist
Practicing Psychotherapist
Mental Health Social Worker
Psychiatrist (MBBS + MD Psychiatry)
Other
Qualification : Other
Specialisations
Neuropsychiatrist
Clinical Psychologist
Clinical Hypnotherapist
Psychotherapist
Family Constellation Facilitator
Hypnotherapist
Reiki Master (Usui / Crystal / Holy Fire Karuna)
Access Bars Practitioner
Marriage and Family Therapist (MFT)
Child & Adolescent Therapist
Grief or Trauma Therapist
Addiction Counsellor
Other
Other Specify
Specialisation 1
Upload Your Certificates
Please upload your files here
Choose Files or Drag & Drop Here
Per Session Cost
Bank Details
Account Name
Account Number
IFSC
KYC
PAN Card Number
Upload PAN Card
Choose File
Aadhaar Number
Upload Aadhaar Front Side
Choose File
Upload Aadhaar Back Side
Choose File
Confirmation
I confirm that the information provided is accurate and I agree to the terms outlined in the Mindra Care Professional Listing Agreement and Code of Conduct.
Submit
Home
Book Consultation
My Appointments
Help & Support
✕
